Maygrove Lifecare

Profile & contact details

Premises details
Premises nameMaygrove Lifecare
Address112 Riverside Road Orewa 0931
Total beds44
Service typesRest home care
Certification/licence details
Certification/licence nameMaygrove Rest Home Limited - Maygrove Lifecare
Current auditorThe DAA Group Limited
End date of current certificate/licence29 August 2024
Certification period24 months
Provider details
Provider nameMaygrove Rest Home Limited
Street addressLevel 5 25 Broadway Newmarket Auckland 1023
Post addressPO Box 56114 Dominion Road Auckland 1446

Progress on issues from the last audit

What’s on this page?

This rest home has been audited against the Health and Disability Services Standards. During the last audit, the auditors identified some areas for improvement.

Issues from their last audit are listed in the corrective actions table below, along with the action required to fix the issue, its risk level, and whether or not the issue has been reported as fixed.

A guide to the table is available below.

Details of corrective actions

Date of last audit: 18 July 2022

Outcome requiredFound at auditAction requiredRisk ratingAction statusDate action reported complete
Planned review of a person’s care or support plan shall: (a) Be undertaken at defined intervals in collaboration with the person and whānau, together with wider service providers; (b) Include the use of a range of outcome measurements; (c) Record the degree of achievement against the person’s agreed goals and aspiration as well as whānau goals and aspirations; (d) Identify changes to the person’s care or support plan, which are agreed collaboratively through the ongoing re-assessment and review … (this text has been trimmed due to space limits).When short term needs are identified, such as those related to infections, are identified. the development of a short-term care plan or an update to the long-term care plan are not always completed in a timely manner and do not always provide sufficient information to guide non-regulated care staff. Ensure all residents with short term or changing needs have a care plan which details interventions required to meet their needs and is sufficiently detailed to guide non-regulated care staff. PA ModerateReporting Complete04/04/2023
Service providers shall engage with people receiving services to assess and develop their individual care or support plan in a timely manner. Whānau shall be involved when the person receiving services requests this.Not all residents have had the required assessments and long-term care planning completed within the contractually required time frames For residents admitted in 2022 who have been in the facility longer than 21 days: Five have not had an interRAI since admission and two had an interRAI assessment completed four and five weeks late respectively. Five residents have not had a long-term care plan completed and three residents have had a long-term care plan completed outside the required time frame… (this text has been trimmed due to space limits).Take action to ensure all residents have an interRAI assessment and long-term care planning completed within the contractually required time frames. PA ModerateReporting Complete04/05/2023
Service providers shall ensure there is a system to identify, plan, facilitate, and record ongoing learning and development for health care and support workers so that they can provide high-quality safe services.Planned training to meet the requirements of the Standard and the contract with the DHB (Health NZ) has not been delivered. Training to meet the requirements of the Standard and the contract with the DHB (Health NZ) is planned and delivered to support ongoing learning and development for health care and support workers. PA LowReporting Complete18/05/2023
Service providers shall maintain quality records that comply with the relevant legislation, health information standards, and professional guidelines, including in terms of privacy.Not all health records sampled meet the Health Records Standards or the contractual requirements for documentation. - Not all entries identified the name and designation of the person making the entry - Not all resident records sampled included a daily progress note entry to indicate their current condition and progress The service will ensure all health records meet Health Records Standards and contractual requirements and that a daily entry is made to record the residents’ progress. PA LowReporting Complete18/05/2023
Governance bodies shall ensure service providers’ structure, purpose, values, scope, direction, performance, and goals are clearly identified, monitored, reviewed, and evaluated at defined intervals.There is no plan in place outlining the purpose, values, scope, goals and direction of the organisation. Strategic planning will need to outline the organisation’s purpose, values, scope, direction, and the goals of the organisation. PA LowReporting Complete18/05/2023
Service providers shall ensure there are sufficient health care and support workers on duty at all times to provide culturally and clinically safe services.The RN works offsite to complete interRAI and care plans. However, this does not ensure resident needs are always met, particularly for short term or acute issues. Ensure an appropriately qualified person is on-site from time-to-time to fully assess residents and compile information to inform interRAI, care planning activities, and short-term care plans. PA ModerateReporting Complete19/07/2023
Service providers shall develop and implement a quality management framework using a risk-based approach to improve service delivery and care.Risk, through adverse event and quality indicator analysis, does not link to a risk system to improve organisational practice. Most of the policies and procedures are out-of-date and not fit for purpose. Adverse events and quality indicators need to be analysed with trends identified so that opportunities to improve service can take place. These need to link to a quality and risk management system and a risk management plan. Policies and procedures are reviewed as required to ensure they are current and fit for purpose. PA ModerateReporting Complete05/12/2023
Service providers shall evaluate progress against quality outcomes.There is no trend analysis of quality data collected and data collection is not utilised to evaluate quality improvement progress. Internal audits are not consistently conducted as scheduled. Data is collected and analysed with trends identified to evaluate progress across quality outcomes. Internal audits are completed as scheduled. Information gained from quality information collection is utilised to support quality improvement. PA ModerateReporting Complete05/12/2023

Guide to table

Outcome required

The outcome required by the Health and Disability Services Standards.

Found at audit

The issue that was found when the rest home was audited.

Action required

The action necessary to fix the issue, as decided by the auditor.

Risk level

Whether the required outcome was partially attained (PA) or unattained (UA), and what the risk level of the issue is.

The outcome is partially attained when:

  • there is evidence that the rest home has the appropriate process in place, but not the required documentation
  • when the rest home has the required documentation, but is unable to show that the process is being implemented.

The outcome is unattained when the rest home cannot show that they have the needed processes, systems or structures in place.

The risk level is determined by two things: how likely the issue is to happen and how serious the consequences of it happening would be.

The risk levels are:

  • negligible – this issue requires no additional action or planning.
  • low – this issue requires a negotiated plan in order to fix the issue within a specified and agreed time frame, such as one year.
  • moderate – this issue requires a negotiated plan in order to fix the issue within a specific and agreed time frame, such as six months.
  • high – this issue requires a negotiated plan in order to fix the issue within one month or as agreed between the service and auditor.
  • critical – This issue requires immediate corrective action in order to fix the identified issue including documentation and sign off by the auditor within 24 hours to ensure consumer safety.

The risk level may be downgraded once the rest home reports the issue is fixed.

Action status

Whether the necessary action is still in progress or if it is complete, as reported by the rest home to the relevant district health board.

Date action reported complete

The date that the district health board was told the issue was fixed.

Audit reports

Before you begin
Before you download the audit reports, please read our guide to rest home certification and audits which gives an overview of the auditing process and explains what the audit reports mean.

What’s on this page?

Audit reports for this rest home’s latest audits can be downloaded below.

Full audit reports are provided for audits processed and approved after 29 August 2013.  Note that the format for the full audit reports was streamlined from 16 December 2014.  Full audit reports between 29 August 2013 and 16 December 2014 are therefore in a different format. 

From 1 June 2009 to 28 February 2022 rest homes were audited against the Health and Disability Services Standards NZS 8134:2008. These standards have been updated, and from 28 February 2022 rest homes are audited against Ngā Paerewa Health and Disability Services Standard NZS 8134:2021.

Prior to 29 August 2013, only audit summaries are available.

Both the recent full audit reports and previous audit summaries include:

  • an overview of the rest home’s performance, and
  • coloured indicators showing how well the rest home performed against the different aspects of the Ngā Paerewa Health and Disability Services Standard.

Note: From November 2013, as rest homes are audited, any issues from their latest audit (the corrective actions required by the auditor) will appear on the rest home’s page. As the rest home completes the required actions, the status on the web site will update.

Audit reports

Audit date: 18 July 2022

Audit type:Certification Audit

Audit date: 29 March 2021

Audit type:Provisional Audit

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